Individual
DR. RANADHIR R BEEREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4129
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
(903) 606-1522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254829
MA
207R00000X
Internal Medicine Physician
R7664
TX
208M00000X
Hospitalist Physician
Primary
R7664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G9576
MEDICARE
TX
Enumeration date
03/07/2011
Last updated
02/27/2024
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